MAN-IN-THE-BARREL SYNDROME CAUSED BY CERVICAL SPINAL-CORD INFARCTION

Acute brachial diplegia with normal findings of the legs, ''man-in-the barrel'' (MIB) syndrome, is generally thought to be caused by bilater al supratentorial brain lesions of the prerolandic cortical and subcor tical area. We report 1 patient with a sudden onset of MIB syndrome wi th no supratentorial lesion but a hemodynamically induced atypical ant erior spinal cord infarction after unilateral vertebral artery dissect ion. Thus, in MIB syndrome an infratentorial lesion site, including th e cervical spinal cord, should also be considered. (C) Munksgaard 1998 .